Fistula Foundation is rated 100% by Charity Navigator and A grade by Charity Watch.

Judged as of 2026-02-03. True: Charity Navigator's rating page shows Fistula Foundation with a score of 100% (100/100, four stars), and CharityWatch gives it a grade of A (A or A+ accepted only if the claim's 'A grade' fits; A+ counts as mostly true). Mostly true: both ratings are top-tier with a small difference, for example Charity Navigator at 99%, or CharityWatch at A+ or A-. Mixed: one rating matches and the other is clearly different or does not exist. Mostly false: both ratings are good but both differ from what the claim states (for example 90% and B+). False: the ratings are much lower, or the charity is not rated by either organisation.

Set before the research began.

1. E1 Charity Navigator - Rating for The Fistula Foundation Charity Navigator · 2 November 2026

   “Fistula Foundation, the global leader in fistula treatment, provides more life-transforming fistula repair surgeries than any other organization in the world.”

2. E2 Fistula Foundation Review & Score — Charity Ranking Charity Ranking · 1 January 2026

   “Charity Navigator has awarded it a four-star rating every year since 2006, and CharityWatch grades it an "A", with more than 85% of spending reaching programmes.”

3. E3 Fistula Foundation Review & Score — Charity Ranking Charity Ranking · 1 January 2026

   “It draws on publicly available reports from independent evaluators such as GiveWell, Charity Navigator, and CharityWatch, but it is not a rating issued or endorsed by any of those organisations.”

E1 is Fistula Foundation's Charity Navigator profile page, but the fetched text gives no overall score or star rating. E2 is a third-party aggregator. It says Charity Navigator has given the charity four stars every year since 2006 and that CharityWatch grades it "A". A four-star rating is not a stated score, so it does not confirm the 100% in the claim. E3 notes that the aggregator's own score is not issued by those evaluators. Because the Charity Navigator score is not shown and the CharityWatch grade rests on one secondary source, the evidence does not settle the claim.